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Advancement of laparoscopic surgery in Guyana: a working model for developing countries
Shamir O Cawich1, Cheetnand Mahadeo2, Madan Rambaran2
1Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad and Tobago.
Advances in Medical Education and Practice
|November 9, 2016
Summary
This study outlines a four-stage model for implementing advanced laparoscopy in resource-limited settings, focusing on training, skill development, partnerships, and collaboration. This approach can help developing nations expand surgical services and improve patient care through minimally invasive techniques.
Area of Science:
- Minimally Invasive Surgery
- Global Surgery
- Surgical Education
Background:
- Laparoscopic surgery has seen global growth, but adoption in the Caribbean region has been slow.
- Initiating advanced laparoscopic services in developing nations requires a tailored, sustainable strategy.
- Guyana's experience provides a replicable model for other low-resource settings.
Discussion:
- The proposed four-stage approach emphasizes adapting techniques for resource-poor environments.
- Developing core skills like laparoscopic suturing reduces reliance on costly disposable instruments.
- Building multi-stakeholder partnerships is crucial for successful implementation and long-term viability.
Key Insights:
- Regional proctors are vital for teaching adapted laparoscopic techniques.
- Focusing on essential skills like suturing enhances sustainability.
- Collaboration with regional experts ensures continuous learning and support.
Outlook:
- This model can guide the expansion of laparoscopic services in other developing nations.
- Successful implementation can improve access to advanced surgical care globally.
- Sustained collaboration and education are key to advancing surgical practice in underserved regions.